ArticleClinical oral investigations2021
Assessment of oral health in older adults by non-dental professional caregivers-development and validation of a photograph-supported oral health-related section for the interRAI suite of instruments.
Article in Clinical oral investigations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 24 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- Evolving aspects of oral care in older adults: a systematic review and Meta-synthesis.BMC oral health · 2026Pooled it
- Self-Reported Items That Predict the Risk of Oral Health Deterioration and the Need for Dental Referral in Older People: A Systematic Review.Gerodontology · 2025Pooled it
- Implementation of the OHS-interRAI for regular oral health assessments by non-dental caregivers: focus group study using a SWOT analysis.BMC public health · 2025Trial
- Longitudinal associations between oral and general health indicators among nursing home residents: an open cohort study based on interRAI assessments.European geriatric medicine · 2026Article
- Toothbrushing Ability in Older Adults Across Stages of Cognitive Impairment.Geriatrics (Basel, Switzerland) · 2026Article
- Validating the Short screening Tool pRedicting Oral Health deterioration in older people by the general practitioner (SHORT) in the Netherlands.BMC oral health · 2026Article
- Improving Oral Health After Spinal Cord Injury: A Scoping Review of Barriers, Facilitators, Current Interventions and Their Effectiveness.Clinical and experimental dental research · 2026Article
- Consensus-based development of a short screening tool predicting oral health deterioration in older people for use by general practitioners.BMC oral health · 2026Article
- Management perceptions on oral health policies in nursing homes using the interRAI instrument: a SWOT analysis.BMC geriatrics · 2026Article
- Screening oral health in older adults: accuracy of the Oral Health Screener for use within the interRAI.Scientific reports · 2026Article
- Implementation and Acceptance of Oral Health Assessment Tools in Residential Aged Care Facilities: A Scoping Review.Gerodontology · 2025Article
- Insights Into Associations Between Oral and General Health Outcomes of Nursing Home Residents Based on InterRAI Data: Cross-Sectional Study.JMIR aging · 2025Article
- Care home managers' perspectives on domiciliary dental care: a qualitative study.BMC geriatrics · 2025Article
- Oral health of nursing home residents in Flanders, Belgium, and its associated factors.Scientific reports · 2025Article
- Comparing approaches to determining poor oral health among older adults in a national survey.Gerodontology · 2024Article
- Comparison of the oral health status of nursing home residents using the current and the newly developed interRAI oral health section (OHS-interRAI): a cross-sectional study.BMC geriatrics · 2024Article
- Nursing home residents' perspectives on oral health: An in-depth interview study.International journal of nursing studies advances · 2024Article
- Evaluation of the Impact of Oral Health on the Daily Activities of Users of the National Health System.International journal of environmental research and public health · 2024Article
- Oral Health Problems Among Flemish and Dutch Nursing Home Residents Assessed by Nondental Caregivers Using the Novel Oral Health Section for Inclusion in interRAI.Innovation in aging · 2024Article
- Oral Health Assessment Tools for Elderly Adults: A Scoping Review.Journal of multidisciplinary healthcare · 2023Article
Corrections and comments
- Erratum issued
Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesAn optimized oral health-related section and a video training were developed and validated for the interRAI suite of instruments. The latter is completed by professional non-dental caregivers and used in more than 40 countries to assess care needs of older adults.
methodsThe optimized oral health-related section (ohr-interRAI) consists of nine items and a video training that were developed in consecutive phases. To evaluate psychometric properties, a study was conducted in 260 long-term care residents. Each resident was assessed by a dentist and by four caregivers (two who received the video training, two who did not).
resultsMean kappa values and percent agreement between caregivers and dentist ranged between κ = 0.60 (80.2%) for dry mouth and κ = 0.13 (54.0%) for oral hygiene. The highest inter-caregiver agreement was found for dry mouth with κ = 0.63 [95% CI: 0.56-0.70] (81.6%), while for the item palate/lips/cheeks only κ = 0.27 [95% CI: 0.18-0.36] (76.7%) was achieved. Intra-caregiver agreement ranged between κ = 0.93 [95% CI: 0.79-1.00] (96.4%) for dry mouth and κ = 0.45 [95% CI: 0.06-0.84] (82.8%) for gums. Logistic regression analysis showed only small differences between caregivers who watched the video training and those who did not.
conclusionsPsychometric properties of the optimized ohr-interRAI section were improved compared to previous versions. Nevertheless, particularly the items based on inspection of the mouth require further refinement and caregiver training needs to be improved. CLINICAL RELEVANCE: Valid assessment of oral health by professional caregivers is essential due to the impaired accessibility of regular dental care for care-dependent older adults.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.